YUMA PRIMARY CARE P L L C NPI 1740399633

NPI Information

  • NPI: 1740399633
  • Provider Name: YUMA PRIMARY CARE P L L C
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 03D1051477
  • Address: 1881 W 24TH ST
    SUITE A
    YUMA, AZ
    ZIP 85364
  • Phone: (928) 726-7171

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NPI Details

YUMA PRIMARY CARE P L L C is a family medicine in Yuma, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. YUMA PRIMARY CARE P L L C NPI is 1740399633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1881 W 24TH ST
SUITE A
YUMA, AZ
ZIP 85364-297
Phone: (928) 726-7171
Fax: (928) 726-7206

The provider's authorized official is Hazem Shehata .
The authorized official title is Owner and has the following contact phone number (928) 726-7171.

The CLIA number assigned to this NPI record is 03D1051477 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 2/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine33831ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I29923MEDICARE UPIN
203D1051477OTHERARIZONACLIA
3P00275055OTHERARIZONARAIL ROAD MEDICARE
4Z105845MEDICARE PINARIZONA
5945876MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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